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Patients’ end-of-life wishes now available to Yorkshire Ambulance Service using the Yorkshire & Humber Care Record

The care preferences of patients in Humber, Coast and Vale who are at the end-of-life, are now available to Yorkshire Ambulance Service through the Yorkshire & Humber Care Record (YHCR). This important milestone means that ambulance crews have access to this vital information at the point of care, making them aware of the wishes of the patient and helping to inform the best clinical decision-making for each individual patient.

Health and care providers across Humber, Coast and Vale (HCV), including hospitals, GP practices, hospices and community services, use a system called EPaCCS (Electronic Palliative Care Coordination System) from software supplier Black Pear to record and share a patient’s care preferences and key details about their care at the end-of-life. This includes their preferred place of care and death, the circumstances under which they’d want to be admitted to hospital, whether they would want CPR to be attempted and details about their medications.

Ambulance clinicians at Yorkshire Ambulance Service can now access this real-time information through the handheld devices they use at the point of care.

Dr Steven Dykes, Deputy Medical Director, Yorkshire Ambulance Service said: “Providing our clinical teams with easy access to a patient’s end of life wishes through the Yorkshire & Humber Care Record allows them to understand the person’s needs and provide a more coordinated, person-centred approach to caring for them.”

John Mitchell, Associate Director of IT for the four Humber Clinical Commissioning Groups and Senior Responsible Officer for the YHCR roll-out in Humber, Coast and Vale, said: “Ensuring that we empower care professionals by providing the right information, to the right person, at the right time is central to the work of the Yorkshire & Humber Care Record team. Achieving wider connectivity of the vital information contained within EPaCCS helps us to ensure clinical and care staff involved in a person’s care understands their requirements and personal preferences. I’d like to thank all the teams for the determination in achieving this success – it’s been a great effort by many individuals.”

Michelle Muir, Palliative and End of Life Care Strategic Clinical Network (North East and Yorkshire) Clinical Lead in Humber, Coast and Vale said: “Understanding and being able to act on the preferences of people at the most difficult point in their lives is vital to support good care. EPaCCS is about putting the wishes of the patient at the centre of care and supporting people approaching the end of life, their families, carers and the clinicians that look after them. “